Author Topic: Social needs assessment  (Read 594 times)

Fiz

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Social needs assessment
« on: April 20, 2018, 06:13:00 PM »
My CPN visited today at short notice and has told me that she's applied for a social needs assessment from adult services in the hope that I am enabled to leave my house and do things. I'm not confident it will lead to any assistance given the current government cuts as I've yet to meet or know of anyone with mental health needs that has been offered such assistance.

With me it's not 'just' anxiety but is mostly physical pain that prevents me leaving my home. I am currently in the middle of a 12 month funeral prepayment plan and my LA have already made it clear that my application for DHP is unlikely to be approved since I have taken this optional financial obligation on myself so I'm assuming any social needs assessment will come to the same conclusion, that if I can afford a monthly prepayment plan for a funeral I could have been spending that on transport. But my socialising problems are not just the ones that get me from A to B but the only mode of transport I physically can physically manage is by car means using taxis and I can't be enclosed in a car with an unknown male due to PTSD. I guess what I'm saying is I'm very grateful for my CPN applying for a social needs assessment from adult services, I'm not hopeful of it being a successful application. My CPN's words were it's worth a try.

Does anyone know of a helpful social needs assessment for someone with mental health needs?

Fiz

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Re: Social needs assessment
« Reply #1 on: May 02, 2018, 05:03:54 PM »
Well it happened today. Two women from the mental health and substance misuse team within adult services came here. I answered dozens of questions on what I can or can't do etc. After they left I cried for ages because despite already knowing I'm intensely lonely and can't leave the house and don't see people to hear it all stated in one short period of time out loud was utterly soul destroying. I have no idea whether it will lead to anything either.

JLR2

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Re: Social needs assessment
« Reply #2 on: May 02, 2018, 05:42:42 PM »
 >hugs<  Fiz I'm not sure your pre-payments funeral plan should be seen by your LA as something that should affect your entitlement to the help your CPN is applying for on your behalf. It is not as if you have been spending your available monies on computer games or some sort of daft hobby, me I've loads of daft hobbies >biggrin< 

I hope your CPN's application is looked on for what it is something to help make your life that little bit better.

Dark_Divinity

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Re: Social needs assessment
« Reply #3 on: May 02, 2018, 08:33:04 PM »
Well it happened today. Two women from the mental health and substance misuse team within adult services came here. I answered dozens of questions on what I can or can't do etc. After they left I cried for ages because despite already knowing I'm intensely lonely and can't leave the house and don't see people to hear it all stated in one short period of time out loud was utterly soul destroying. I have no idea whether it will lead to anything either.

 >hugs<
July 2017- Autism Spectrum Condition.

June 2012 -Hypothyroidism.

Sunny Clouds

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Re: Social needs assessment
« Reply #4 on: May 02, 2018, 10:18:37 PM »
 >bighugs<
(I'm an obsessive problem-solver, so feel free to ignore any suggestions or solutions I offer, even if they sound terribly insistent.)

Fiz

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Re: Social needs assessment
« Reply #5 on: May 03, 2018, 08:31:54 AM »
>hugs<  Fiz I'm not sure your pre-payments funeral plan should be seen by your LA as something that should affect your entitlement to the help your CPN is applying for on your behalf. It is not as if you have been spending your available monies on computer games or some sort of daft hobby, me I've loads of daft hobbies >biggrin< 

I hope your CPN's application is looked on for what it is something to help make your life that little bit better.

Sorry, I realise I mixed up two different applications in the op but didn't make it clear. My CPN requested I have a social needs assessment and that's what happened yesterday. If they decide I am eligible for help or support to do things, their next stage will be to send in someone from the financial and benefits team who will examine my finances to decide whether I should be paying for it fully myself or whether adult services contribute anything. I know they consider that DLA/PIP is money to spend on the care you need so if you're currently not spending it on your care or mobility needs, as awarded by the DWP then they expect you to be using that money first and foremost. Both people I know who've had this assessment were told they were eligible and had needs but that they had to fully fund it themselves, though adult services can organise the help. But the cost for help through them is 16 - 20 per hour and it would be cheaper to find someone to help me. That said, I tried to find a cleaner to do two hours fortnightly offering 10 per hour but the people who came demanded much more money because my house is so in need of cleaning. I had thought two hours work was two hours work up until that point. I wasn't expected miracles. Even had they not managed to fully clean one room in that time I would have been happy with two hours cleaning. I tried an agency and their minimum price was 16 per hour which is unaffordable. So I'm not expecting anything to come from this assessment with money being the barrier. I have no idea if the FAB team will consider my funeral plan an acceptable expense or not.

Totally separate to the above situation I had applied for discretionary housing payment to cover the under occupancy reduction in housing benefit for my 'spare bedroom' which I use as a therapy room. I'd been awarded it before because I had a lot of debt I was trying hard to pay off. However National Debtline applied on my behalf for a debt reduction order which was granted so I'm no longer making payments towards the debt. On my new application form which I posted early March even though my previous award wasn't due to end until the end of March I put my monthly fee for the funeral plan as one of my outgoings. I'd applied so early for the new DHP because I hadn't wanted to gather debt while they decided around the time my previous award was due to end. I emailed them late March to say I'd not had a response about my DHP and they said they look at the new Applications in the new financial year, in April. I contacted them mid April and got a snappy email back saying they were understandably busy and would get to it in good time. A week later after another email from me they looked at my application and noticed the funeral prepayment plan outgoing and emailed me asking why I was paying that so I replied that none of my children had any money and no ability to pay off any loan they took out to pay for my funeral when the time comes so I'm trying to ensure that I deal with this myself now. Her tone in her email had suggested it was a superfluous payment I needn't be making. I heard nothing more until in Monday's mail when a letter said they'd turned down my application for DHP.  They obviously think the funeral plan is unnecessary.

I was quite distressed Monday realising that because they'd taken so long to make a decision, I now owe the council 5 weeks portion of rent plus need to pay the rent portion from this point on. I emailed the rents department (I've already received one letter from them stating my arrears and court action may be necessary and I may be evicted) to explain that I'd only that day had the decision about my DHP application despite posting off the application in the first week of March and only that day therefore realised I'm now in arrears of 5 weeks. I told them that I would be paying rent fortnightly on the ESA arrival days to ensure it gets paid and told them I would add to my portion of the rent an extra 40 pence so they'd be receiving 20 pence per week from me to pay off my arrears saying I couldn't afford to pay more than that but the arrears would eventually be paid off even though it would take around 18 months. Rents forwarded my email to benefits who emailed me saying that they hear what I'm saying when I said that I'd only just got the DHP decision and that the arrears were due to them taking so long to make a decision so they've said that benefits would pay rent for my arrears meaning I only need to think about paying my rent from this point on. What a palaver. But the long and the short of it is, benefits feel that a prepayment funeral plan is superfluous and that's why my application was turned down. I'm obviously going to continue with my prepayment funeral plan but as rent is now an outgoing my grocery and household items amount can be no more than 25 a week ever, trying to keep it nearer 20 so that no bill bounces back. I'm stressed about money now and things will be hard until October when I make my final payment to the funeral plan. I could have done with 6 months DHP while the plan is being paid for after which paying rent will be no problem. They've no idea how important the plan is to me and they can't understand it I guess. Sorry for the long ramble. All this as well as my PIP application in progress and my stress levels are off the scale and mentally I'm not really coping.

Fiz

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Re: Social needs assessment
« Reply #6 on: May 19, 2018, 09:16:49 AM »
One of them phoned me yesterday and said they want to come and see me on Tuesday as they have more questions to ask me. I have no idea what the questions are. I just feel hounded at the moment and too stressed to deal with anything.

Plumber (male  >yikes< ) coming Monday to assess my broken shower.

Sunny Clouds

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Re: Social needs assessment
« Reply #7 on: May 19, 2018, 03:03:28 PM »
I think things like funeral plans are difficult because people have such wide-ranging views on funerals.  Legally and historically in the UK, it's not the responsibility of the deceased to have made provision to pay for their funeral before they die, it's the responsibility of the executors/administrators, or if they are unable, the local authority.

However, in reality, some people consider it essential to make provision in accordance with their personal religious or cultural beliefs and whilst it's very difficult for some of us to see why that would matter, as from our perspective if it matters to your family or religious community what happens to your body, they should deal with it, I think it's important for us to understand that this is part of your peace of mind.  Some people can get terribly anxious that they shouldn't have a local authority funeral, so I'd put it in the same category as paying for counselling.
(I'm an obsessive problem-solver, so feel free to ignore any suggestions or solutions I offer, even if they sound terribly insistent.)

Sunny Clouds

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Re: Social needs assessment
« Reply #8 on: May 19, 2018, 04:15:06 PM »
Perhaps an analogy on why I think what I do about the prepaid funeral.  I tithe.  Most people would probably say that that's unnecessary.  To me, it's an obligation.  I don't consider a funeral as such necessary, just cremation or burial, whichever's cheapest.  But if I consider a certain degree of expenditure essential that not everyone does, then why shouldn't I apply that in reverse?  And that's what I believe the powers that be should do - recognise that we each have certain beliefs as regards our obligations.
(I'm an obsessive problem-solver, so feel free to ignore any suggestions or solutions I offer, even if they sound terribly insistent.)

Fiz

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Re: Social needs assessment
« Reply #9 on: May 19, 2018, 05:26:08 PM »
I had written and left a long letter explaining to my children about public health funerals and how they could legally refuse to pay, the only money the state can take is from your estate and they can have my furniture and clothes if they want them but they won't come close to paying for a funeral. However I've worked for adult services and know that they hound all first degree relatives until the emotional pressure means they feel obliged to take out a loan to pay for a funeral. Even relatives who've had no contact with the deceased for years. If I had strong adult children who knew their entitlement and legal position I wouldn't have worried about a funeral plan but I have an autistic daughter with high anxiety and two sons who have no clue about the system and I couldn't be sure, knowing adults services as I do, that they wouldn't be pressured into taking a loan out and then not being able to pay it back as they work for the living wage and live in privately rented accommodation. And I'd hate to add stress to my dd so although I know full well I can have a public health funeral, I just can't leave that stress to the children. The last large payment is September then a small one in October then it'll be paid for. The simplest funeral plan I could find. It's peace of mind for me. I'm unsure how I will manage with bills and food until then but I'm taking life one month at a time.

I was contemplating buying a second bra today but decided I've washed and dried overnight the one bra for ages now, who needs two bras. That's the kind of thinking I need to be thinking! But as yet this adult service team don't know what my outgoings are and unless things have changed since I worked there, the financial and benefits team (FAB) do the financial workings out as to how much anyone has to contribute so unless things have changed these two will be coming to continue asking questions about my needs and support. At the moment I can't even contemplate leaving my house so it's a tricky conversation.

Sunny Clouds

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Re: Social needs assessment
« Reply #10 on: May 19, 2018, 06:50:35 PM »
Quote
It's peace of mind for me.

Which matters.

Mental distress can cost the state far more than a funeral policy.
(I'm an obsessive problem-solver, so feel free to ignore any suggestions or solutions I offer, even if they sound terribly insistent.)

Fiz

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Re: Social needs assessment
« Reply #11 on: May 22, 2018, 06:12:46 AM »
Absolutely dreading today. Plumber (man) coming any time after 8.30 to look at shower, he didn't turn up yesterday as he was running late. The social care needs assessment team are here at 9.30. And the dog walker is collecting the dog around lunchtime, I usually cry the whole time the dog's gone because my social anxiety about the general chit chat when the dog is returned is sky high. No chit chat happens at the start as the walker is dragged excitedly to the dog van the second she is collected. But I know my mood can hugely be affected by stress so I'm unsure how I will cope with 3 things in one day. And having such social anxiety always makes me feel stupid and weak and "not normal". Whereas I do understand my fear of men and how difficult I find it if one enters my safe space, because I know what I went through. I guess that's the difference, I don't understand the social anxiety.

Sunny Clouds

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Re: Social needs assessment
« Reply #12 on: May 22, 2018, 10:22:43 AM »
 >bighugs<
(I'm an obsessive problem-solver, so feel free to ignore any suggestions or solutions I offer, even if they sound terribly insistent.)

Sunny Clouds

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Re: Social needs assessment
« Reply #13 on: May 22, 2018, 10:36:40 AM »
I wish I could think of a way to make you feel less afraid of men in your personal space, but you've been hurt and old hurts leave long shadows, so all I can do is to hope that any discomfort having a male plumber there causes you subsides quickly.

 >x-fingers<

(I'm an obsessive problem-solver, so feel free to ignore any suggestions or solutions I offer, even if they sound terribly insistent.)

Fiz

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Re: Social needs assessment
« Reply #14 on: May 22, 2018, 05:24:49 PM »
I often wonder if my fear of men will die away or reduce sunny, it hasn't happened yet ten years post separation but I'm on the waiting list for compassion focused therapy and apparently following that there is a therapy called compassion focused trauma therapy and the CMHT psychologist said that therapy definitely significantly reduces reactions to triggers so I am really hoping that after the 8 week group course for compassion focused therapy that I will also be offered the trauma extension of the same therapy. No promises have been made but when I said to the psychologist how my reaction to triggers can be extreme and are very distressed she was eager to tell me about the trauma extension and how good the results can be and it doesn't make sense to me to tell me that and then not offer it.

The man who came today really couldn't have been nicer. Talking but calmly and slowly and when he said how lovely the position of my house is and I agreed and said I loved it here but earlier in my tenancy I'd had some trouble with two neighbours including criminal damage etc and said one neighbour's nastiness was based on the jealousy that I'm renting my house so get maintenance for free whereas they've bought theirs so have to pay for their own repairs he said he hears that said so often by tenants and it's really not pleasant. If I could just book this electrician for every repair I think I'd be calmer in the run up. And he fixed the shower quickly and easily.

The adult services duo came again and I am eligible for support from them. Apparently the mental health team are going to offer a support worker on a short term basis and if that's proving useful they can continue that. Age concern can offer a volunteer befriended,  I really don't feel old enough for age concern but they say it's fine. There's a transport service that provides transport to and from medical appointments. They're going to find out the costs. A cleaner would have to come out of my PIP money but up to and including September all of it is paying for my prepayment funeral plan. So nothing can happen until after that. Oh they're going to find out if the transport to medical appointments can be booked specifically as lady drivers only.

I really don't know if the support worker is going to try and get me out and that scares me. I mentioned to my dd today that being housebound for a length of time has definitely worsened my social anxiety. Logic tells me that if I do go out briefly and regularly the anxiety must then reduce. So nothing is in place yet. This visit was to assess what I think of their ideas. Everything seems to be such a long process. I'm wondering if a support worker would help me blitz my bedroom. Mounds of thinks block access to chests of drawers an I'm living in one outfit which gets washed and dried overnight, however it is possible that I have other clothes that fit me if I could just get to them. I know a tidy and then cleaned room would help my mood considerably but it seems a lot to ask. Especially if their aim is to get me out of the house.